Credentialing and Enrollment Coordinator - Pacific Cancer Care : Job Details

Pacific Cancer Care has provided superior care for patients for nearly 50 years. We make every patient our priority. We are a family here at PCC, each member of the team cares deeply, often for a very personal reason, and that means a lot to our patients Why Join Us? Our team values the work components of every member to create a culture of people helping people and making a difference in our lives and those we serve. Job Description: Under the direction of the Executive Director, and the Director of Operational Excellence, the Credentialing and Enrollment Coordinator is responsible for supporting all aspects of provider and clinic site credentialing, payor enrollment, and licensing at Pacific Cancer Care. THIS IS NOT A REMOTE POSITION. Candidate must be available to work onsite in our Monterey, CA office location. This coordinator ensures accurate and timely submission of provider applications, supports documentation gathering, and maintains up-to-date tracking of enrollment and credentialing/re-credentialing status. In addition, the position is responsible for handling various clerical and secretarial duties, as assigned, and maintains confidentiality in compliance with HIPAA laws and Pacific Cancer Care's Standards of Conduct, QUALIFICATIONS:

• Graduation from accredited High School required.
• Graduation from business school/college and/or business/billing courses helpful.
• Minimum of 2 years credentialing and enrollment experience in healthcare required.
• Computer and typing experience/skills.
• Excellent communication skills, both written and verbal
• Demonstrated excellent people skills, verbal skills, and multi-tasking skills in a fast-paced environment.

• Credentialing and enrollment requirements for Medi-Cal, Medicare, commercial plans, and managed care.
• Organizational skills and attention to detail
• Microsoft Office Suite (Excel, Outlook, Word); experience with SharePoint and credentialing databases preferred.
• Telephone skills *Filing procedures

• Type minimum 25-30 words/minute on the computer
• Perform mathematical calculations.
• Multitask: ability to handle, use and respond to persons on the phones and computers simultaneously.
• Sit for long periods.
• Speak clearly to be understood by patients, insurance companies, MDs, and staff.
• Maintain weekly pace of practice with billing and collections.
• Maintain confidentiality.

• Vision sufficient to read handwritten, typed and computer documents throughout the shift.
• Speech and hearing sufficient to receive and communicate detailed information clearly by phone and in person.
• Motor skills sufficient to operate computer terminal, fax machine, copier, and telephone.
• Physical ability to reach, lift, and bend to retrieve and/or file materials.
• Physical ability to sit, stand or otherwise remain stationary at work post for long periods of time.
• Physical ability to walk hallways between departments.
• Physical ability to lift and carry 25 lbs.
• Physical ability to walk up and down one flight of stairs and between departments.